| Mrs Marycarol Park, LCPC | |
|
2465 Moutray Ln, North Aurora, IL 60542-2111 | |
| (720) 331-8315 | |
| Not Available |
| Full Name | Mrs Marycarol Park |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2465 Moutray Ln, North Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700646262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.015794 (Illinois) | Primary |
| Entity Name | Park Clinical Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083444509 PECOS PAC ID: 2567993892 Enrollment ID: O20240927000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marycarol Park, LCPC 2465 Moutray Ln, North Aurora, IL 60542-2111 Ph: (720) 331-8315 | Mrs Marycarol Park, LCPC 2465 Moutray Ln, North Aurora, IL 60542-2111 Ph: (720) 331-8315 |
Adam L Maldonado, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincolnway Ste F, North Aurora, IL 60542 Phone: 815-757-7966 | |
Kevin Andrew Saurer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincolnway, North Aurora, IL 60542 Phone: 630-801-1669 | |
Angela Dezel Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 564 Hamilton Ln, North Aurora, IL 60542 Phone: 630-973-8890 | |
Katie Berry, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Thompson Ave, North Aurora, IL 60542 Phone: 630-779-1305 | |
Michele Dominguez, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincolnway, North Aurora, IL 60542 Phone: 331-248-2093 | |
Rebecca Lynn Priegel, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincolnway, North Aurora, IL 60542 Phone: 630-801-1669 | |
Andrea Holm, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincolnway, North Aurora, IL 60542 Phone: 630-801-1669 |